[Cryosclerosis. The forgotten endovenous cryoablation of the great saphenous vein. Mid-term results of a prospective comparative trial].

Introduction: Cryosclerosis was introduced by Milleret and Le Pivert in the 1980s.

Method: A prospective non-randomized comparative study has been performed on initial 96 patients. 48 patients were treated by cryosclerosis and the others received conventional stripping.

Which endovenous ablation method does offer a better long-term technical success in the treatment of the incompetent great saphenous vein? Review.

Objective: The aim of this review article was to evaluate the long-term technical success rates of the known endovenous ablation procedures in the treatment of the incompetence of the great saphenous vein.

Methods: A literature search was conducted in the PubMed-database until the 5 January 2016. All publications with four to five years follow-up were eligible.

[Pneumoperitoneum after jacuzzi bathing -- an unusual cause for the development of intraperitoneal free air].

Free air within the intraperitoneal cavity most frequently occurs in conjunction with perforation of a hollow viscus and requires urgent surgical intervention. However, approximately 10% of all cases of pneumoperitoneum may not be correlated with disruption of the gastroinestinal tract. In the literature this condition is termed "nonsurgical" (NS) pneumoperitoneum and usually requires conservative management.

[Occult inguinal-hernia in athletes].

Introduction: The occult inguinal hernia in athletes represents a distinct entity as well as a part of a syndrome known as PIPS (public inguinal pain syndrome). It may be relatively difficult to identify the possible source of inguinal pain, since the spectrum is so wide that it can overlap various medical subspecialties.

Patients And Methods: This study includes 14 cases of athletes (11 football players) with suspicion of occult inguinal hernia.

[Repairs of inguinofemoral and ventral hernias--review].

In this article the author reviews the results, technology and latest achievements in the history of laparoscopic hernia repair. In conclusion, having considered the advantages and disadvantages, laparoscopic hernia repair offers the best results in terms of early rehabilitation, early and long-term postoperative pain and a very low recurrence rate (less than 1% and 5%). In the hands of experienced laparoscopic surgeons, it remains the gold standard for hernia repairs indisputably.

30 years' experience in the treatment of low-risk gestational trophoblastic neoplasia in Hungary.

Objective: To review the clinical experience in the treatment of patients with low-risk gestational trophoblastic neoplasia (GTN) over the past 30 years in a national trophoblastic disease center.

Study Design: Between January 1, 1977, and December 31, 2007, 302 patients with low-risk GTN were treated. The patients were directed to our institution from all parts of Hungary.

[Preparation and operative technique for giant inguino-scrotal hernia].

The authors present their experience during a successful operation of an inguino-scrotal giant hernia. The enormous hernia had been enlarging for 8 years. First, the abdominal wall was gradually expanded by creating a pneumoperitoneum.

Primary pulmonary choriocarcinoma: a case report.

Background: Primary pulmonary choriocarcinoma (PPC) is an extremely rare clinical entity. In contrast with gestational trophoblastic tumors that show an extreme sensitivity for chemotherapy, extragonadal choriocarcinomas are mostly unresponsive to surgical and chemotherapeutic treatment and are associated with poor prognosis. The reason non-gestational choriocarcinomas behave so differently from gestational tumors is unknown.

25 years' experience in the treatment of gestational trophoblastic neoplasia in Hungary.

Objective: To review our clinical experience in the treatment of gestational trophoblastic neoplasia (GTN) over the past 25 years in our national trophoblastic disease center.

Study Design: Between January 1, 1977, and December 31, 2001, we treated 355 patients with GTN. The patients were between 14 and 53 years of age, with an average of 28.

Alloimmune and autoimmune background in recurrent pregnancy loss - successful immunotherapy by intravenous immunoglobulin.

Problem: Immunotherapies [leukocyte immunization, intravenous immunoglobulin (IVIG)] introduced to treat women with recurrent spontaneous abortions (RSA) have still controversial results in most clinical trials. A selection of these patients would be advantageous for higher efficacy.

Method Of Study: A complex immunological panel assay was offered to patients with reproductive failure without any other known cause.

[The treatment of inguinofemoral hernias with laparoscopic herniorraphy. Our experience of 1210 transabdominal preperitoneal (TAPP) reconstructions].

In 11 years (1994-2005) our team has carried out 1210 transabdominal preperitoneal herniorrhaphies in 964 patients. We operated monolateral hernias in 602 (62.4%) patients, bilateral hernias in 246 (25.

[Intravenous immunoglobulin treatment of recurrent spontaneous abortion with immunopathological background].

Introduction: Recurrent spontaneous abortion (RSA) is diagnosed if three or more spontaneous abortions follow each other typically in the first trimester. The root cause of miscarriages often can not be found. A significant proportion of this unexplained RSA cases may be caused by immunopathological failure.

Our experiences with saphenoperitoneal shunts in the treatment of intractable ascites.

Because of significant expenses and complication rates of traditional pumps (LeVeen, Denver, Agishi) used in the surgical treatment of refractory ascites a simple and cheap operative method has to be found. In saphenoperitoneal shunts the one-way flow is maintained by biologically given double saphenous valves. In our department 11 saphenoperitoneal shunts have been performed on 9 patients (2 female, 7 male) in the past one and a half years.

[Laparoscopic treatment of bile leakage from the Luschka duct after laparoscopic cholecystectomy].

The possible reasons for bile leakage following laparoscopic cholecystectomy are the injury of the common bile duct, the insufficient treatment of cystic duct (non competent or non closing, or spontaneously removing clip, stumpnecrosis due to electrocoagulation near to clipp, rupture adjacent to the clipp) or the opening of an aberrant bile duct. The latter often may occur in case of the anatomic variation described by Hubert von Luschka (1820-1875) a German anatomist as the duct named after Luschka. In a favorable case the accessory bile duct closes by itself, but occasionally developing biloma and/or biliary peritonitis need to be operated on.

[Experience with saphenous-peritoneal shunts in the treatment of intractable ascites].

Introduction: The price and complication rates of pump models applied in the treatment of intractable ascites are significantly high. The development of a more simple, cheaper technique--using the biologically given venous valves--the saphenoperitoneal shunts became essential.

Technique And Results: In authors' department 11 saphenoperitoneal shunts have been performed on 9 patients from 01.

How long should patients be followed after molar pregnancy? Analysis of serum hCG follow-up data.

Objective: We analyzed human chorionic gonadotropin (hCG) follow-up data of patients with molar pregnancy. Women often do not complete recommended post-disease screening. Our purpose was to determine if continuing follow up of uncomplicated molar cases beyond attaining undetectable hCG levels is necessary for detecting relapse of gestational trophoblastic disease.

Osteopontin is down-regulated in hydatidiform mole.

Objective: Osteopontin (OPN) is a glycoprotein of the extracellular matrix that can bind to different types of receptors including integrins and CD44 receptors. Multiple binding affinity enables OPN to play a role in many physiological and pathological processes. OPN contributes to tumorigenesis in several types of cancers.

Human chorionic gonadotropin follow-up in patients with molar pregnancy: a time for reevaluation.

Objective: To determine how often patients with molar pregnancy do not complete recommended follow-up and to identify factors that may predict failure to complete human chorionic gonadotropin (hCG) monitoring. This study also sought to determine how often patients with molar pregnancy who do not complete follow-up relapse after attaining at least one undetectable hCG value.

Methods: Four hundred randomly selected patients with molar pregnancy were analyzed regarding the serum hCG levels after molar evacuation.

Protein profiling of complete mole and normal placenta using ProteinChip analysis on laser capture microdissected cells.

Introduction: Surface-enhanced laser desorption/ionization mass spectrometry (SELDI-MS) is a novel method for biomarker discovery that can provide a rapid protein expression profile from a variety of biological samples. Since SELDI-MS requires a small amount of biological material, this technique is ideal for analyzing proteins isolated from microdissected tissue samples. The current study was undertaken to investigate potential differences in protein expression between normal and molar trophoblast procured by laser capture microdissection (LCM) utilizing SELDI ProteinChip array technology.

[Cryosurgery and endoscopy in the treatment of varicose veins].

Multiplex wide incisions and often deforming scars following varicose surgery are out of date. Nowadays cryoprobes are used to remove epifascial varicose veins, while endoscopy is used to treat transfascial (perforating) venous insufficiency. We analyse the results of 1000 cryovaricectomies performed in the last 8 years.